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Current Trends in Anaesthesia Monitoring: A Survey Study.

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Turkish anesthesiologists show varied adoption of advanced monitoring. Cost and device availability are key barriers to using anesthesia depth, nociception, and neuromuscular blockade monitoring, impacting patient safety.

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Area of Science:

  • Anesthesiology and Perioperative Medicine
  • Clinical Practice Research
  • Medical Technology Adoption

Background:

  • Advanced monitoring technologies like anesthesia depth, nociception, and neuromuscular blockade monitoring are crucial for optimizing patient safety and perioperative outcomes.
  • Understanding the current adoption rates and barriers to these technologies among anesthesiologists is essential for improving clinical practice.

Purpose of the Study:

  • To evaluate the frequency of use, devices employed, and barriers to routine adoption of anesthesia depth, nociception, and neuromuscular blockade monitoring among Turkish anesthesiologists.
  • To identify factors influencing the consistent use of these advanced monitoring tools in clinical settings.

Main Methods:

  • A cross-sectional survey was conducted among 62 anesthesiologists in İstanbul, Türkiye.
  • Participants reported on their monitoring practices, devices used, and reasons for inconsistent technology use.
  • Data were analyzed using descriptive statistics and subgroup comparisons.

Main Results:

  • Anesthesia depth monitoring was frequently used by only 37.1%, with cost and availability cited as major barriers.
  • Nociception monitoring was more common (72.1% frequently used) but also faced cost and availability issues.
  • Neuromuscular blockade monitoring was least used, with 24.2% never employing it; no significant differences were found based on professional title or hospital type.

Conclusions:

  • Significant variability exists in the adoption of advanced anesthesia monitoring technologies among Turkish anesthesiologists.
  • Barriers including cost, device unavailability, and reliance on alternative methods impede widespread adoption.
  • Addressing these barriers is critical to enhance patient safety and improve perioperative outcomes through consistent use of monitoring tools.